NRNP 6541 FINAL EXAM 3 LATEST VERSIONS
2024-2025 /NRNP 6541 WEEK 11 FINAL REAL
EXAM QUESTIONS AND CORRECT
ANSWERS|ALREADY GRADED A+ (WALDEN
Terms in this set (24)
,(4) A 6-month-old girl is C. SCID is an autosomal recessive or X-linked disorder
seen after an emergency of both humoral and cellular immunity. Serum
room visit for decreased immunoglobulins and T cells are often markedly
intake, emesis, and watery diminished or absent. Thymic dysgenesis is also seen.
diarrhea for the past 3 Recurring cutaneous, gastrointestinal, or pulmonary
days. She was diagnosed infections occur with opportunistic organisms such as
yesterday with "stomach cytomegalovirus (CMV) and PCP. Death typically
flu" and given IV fluids. occurs in the first 12 to 24 months of life unless bone
She is doing better today marrow transplantation is performed.
with improved intake and
resolution of her emesis
and diarrhea. The father is
concerned about her
thrush since birth (despite
multiple courses of an oral
antifungal) and that she
has been hospitalized
twice for pneumonia over
the past 4 months. Her
weight has dropped from
the 50th percentile on her
4-month visit to the 5th
percentile today. She has
no findings consistent with
dehydration, but she does
appear to have some
extremity muscle wasting.
Her examination is
remarkable for buccal
mucosal exudates and
hyperactive bowel sounds.
Vital signs and the
remainder of her
examination are normal.
You suspect severe
combined
immunodeficiency (SCID).
, Which of the following is
consistent with the diagn
(4) A 15-year-old female A. The obese adolescent in this case has findings of
has a 1-month history of diabetes mellitus. Her cutaneous candidiasis is likely
urinary frequency without an indication of secondary immunosuppression
dysuria and recent onset related to hyperglycemia. In diabetes, hyperglycemia
of an itchy rash beneath promotes neutrophil dysfunction, and circulatory
both breasts. She has insufficiency contributes to ineffective neutrophil
been gaining weight over chemotaxis during infection. HIV infection is possible
the past year and and antibody testing might be reasonable, but this
regularly complains of scenario is most consistent with hyperglycemia.
fatigue. She is febrile with
a weight greater than the
99th percentile and has an
erythematous, macular
rash beneath both breasts
characterized by satellite
lesions. UA is significant
for 2+ glucosuria, but no
pyuria. Which of the
following is the most likely
diagnosis?
A. Diabetes mellitus
B. Fanconi syndrome
C. Human
immunodeficiency virus
D. Occult malignancy
E. Severe combined
immunodeficiency (SCID)
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